RAF Pre-Assessment Consultant Vacancies (X3 Posts)
Division: Claims
Reference No: 6261
Location: Durban, Kwazulu-Natal, ZA
Employment Type: Fixed Term Contract
Disability (EE targeted role): No
T.A.S.K Grade: 10
Job Posting Salary: R434,656.00
Job Posting End Date: 29 Oct 2025
Purpose of the Job: Pre Assessment is responsible for the pre assessment of prospective claims applications.
NB: This is a 18 Month Fixed Term Contract.
Key Performance Areas
Pre Assessment of prospective claims
- Record all the submitted documents for prospective claims.
- Determine the benefits and the products submitted based on the submitted documents.
- Assess the submitted documents to determine compliance as per defined processes and rules.
- Apply compliance and/ lodgment rules in pre assessing the prospective claim. Identify duplicate claims and linked claims.
- Examine the prescription of lodgment and apply prescription rules.
- Verify mortality with Home Affairs.
- Communicate the assessment outcomes to the prospective claimants.
Quality Assurance
- Ensure that pre assessment processes are implemented and maintained at the highest standards.
- Maintain the implementation of an unusual occurrence procedure.
Administrative Support
- Document the acknowledged claims.
- Deal with/and respond to correspondence.
- Produce documents, briefing papers, reports and presentations.
- Assist with typing and editing briefs, technical papers, letters to various parties, and memos.
Reporting
- Track and report against set objectives and targets.
- Report on emerging risks.
- Provide ad hoc reports on process improvement initiatives.
Stakeholder Management
- Maintain healthy relationships with all stakeholders.
- Follow up and feedback to all stakeholders to keep them updated on the status of a query.
- Respond to queries within the predefined turnaround times.
Qualifications and Experience
- Bachelor’s Degree/Advanced Diploma in a related qualification.
- Relevant 3 years’ experience in the Claims environment.
Behavioral competencies required.
- Planning, Organizing and Coordinating.
- Personal Mastery.
- Judgement and Decision Making.
- Ethics and Values.
- Client Service Orientation.
Technical competencies required.
- Ability to differentiate different RAF Products.
- Knowledge of Motor vehicle Act.
- Complex problem identification, solving and decision making.
- Customer value proposition.
- Good financial management skills.
- Strong analytical capabilities.
- Knowledge of Motor Vehicle Accident legislation.
- PFMA knowledge.
- Attention to details.
